Uterine applicator.



A PIESSLER UTERINE APPLIGATOR.

APPLICATION FILED JUNE 6, 1914. 1,1 29,657, Patented. Feb. 23, 1915.

AUGUST FIESSLER, 0F STU'ITGART, GERMANY.

UTERIN'E APPLIC'ATOR;

Application filed June 6, 1914. Serial No. 843,419.

To all whomit may concern Be it known that L /AUGUST Fmssnnn, gynecologist, a citizen of the German. Empire, and residing at Stuttgart, Germany, have invented certain new and useful Improvements in or Relating to Uterine Applicators, of-which the following is a specification.

The subject-matter of my invention is a uterine applicator 2'. e. a device tobe introduced into the channel of the cervix uteri for enabling medicaments to act continuously on the mucous membrane of the cervix uteri and on the secretions therefrom.

The novel feature of a device according to the invention is the combination of a preferably projectile-shaped body containing the medicaments to be employed with an elastic or yielding-carrier which does not fill the channel of the cervix uteri and which anchors itself in the position of use in the wall of the cervix. In a preferred form of the device according to the invention the body containing the medicaments is carried by an elastic bow of fine, steel or silver wire which can yield to any contractions of the uterus, but its spread is limited, and the, lower ends of its limbs are provided with laterally projecting short points. When the device is introduced into the cervix uteri these lateral points of the elastic wire bow readily enter into the mucous membrane and hold the device securely in its position ofuse. The spread of the limbs of the elastic wire bow is limited by a small chain about 68 mm. long carried between the lower ends of the limbs of the bow formed as eyes. The bow and its attaching device for the body containing the medicaments and the small chain connecting the limbs of the bow are preferably heavily ,goldplated, so that the carrier of the body containing the medicaments remains absolutely sterile and doesv not rust or corrode even'when patient for a long time.

A device according to my invention is introduced into the uterus by means of a novel tubular instrument in such manner that the point of the-body containing the left I in the vmedicaments does not quite reachthe'inner mouth of the uterus, while its lowest point is located a'few millimeters above the outer mouth of the uterus.- The hereindescribed device is thus placed only in the middle part of the channel of the cervix uteri, so that it establishes no connection betweenthe chan- Specification of Letters Patent.

Patented Feb. 23,1915.

nel of the cervix uteri and thevagina which might lead'to infection of the uterus. device according to my invention is removed from the cervix uteri by means of a novel, likewise tubular instrument in such manner that the lateral points of the device are removedfrom the wall of the cervix without causing injury thereto.

In 'contradis'tinction to known devices for introducing medicaments into the uterus the hereindescribed device is of such a construction, that 'it cannot cause any complaints due to pressure, nor can it cause painful contractions of theuterus, and it does not check the discharge of the secretions of the uterus, but assure the same taking place normally. The medicinal body of the device requires to be of only a small size without It may be such that Good results are obtained with a medici nal body ofthe following composition?- itrol silver citrate (about 75%), aristol -di-iodin -'dithymol (about 15%), lygosinquininzquinin diorthooxyb'enzol acetone (about 10%). Another suitable composition of the medicinalbody is the following :nosophen:tetra iodin phenolphthalein (about 15%), loretin :meta-iodin-or-' thooxychinolanasulfo-acid (about .30 aristol di -iodindithymol (about 30%), boric-acid (about 2.5%). ,When the medicinal body has such a composition. the action of. the same isnot exhausted even after the devicehas been inuse for several weeks.

One form of a device according to my invention and forms of instruments for introducing and removing the same is represented by way of example in theaccom panying drawing wherein:

Figure 1 shows the device in its position of use in the cervix uteri; Fig. 2 is a frontelevation of the device on a scale larger than full'size, and Fig. 3. is an end elevation of the same; Figs. 4 to 7 show the introduc:

ing instrument, Fig. 4C being a side elevation,

partly in section, Fig. 4* a top plan view, Figs. 5 and 6 front andv side elevation respectively, of the upper end of the introducing instrument with the device inserted therem, and Fig. 7 an elevation corresponding to Fig. 5 showing the instrument open. 1

Figs. 8 to 10 show the removing instrument in section in three different positions.

Referring firstly to Figs. 1 to 3, the device for enabling solid medicaments to act continuously on the mucous membrane of the cervix uteri comprises the projectile-shaped solid, consisting of or containing a medicinal body a soluble with diiiiculty of about 5-6 mm. outside diameter and 78 mm. long,

the attachment device I) for the same and the is spread out the distance between the extreme ends of the two points 6 does not exceed about 1012 mm. When the bow is spread out in its position of use its height is about 8 mm., so that the total height of the device is about 1516 mm.

The illustrated device is used by its being inserted in the manner described hereinafter by means of the instrument represented in Figs. 4 to 7 into the cervix uteri 9 so that the medicinal body a; is directed toward the inner mouth 71. of the uterus, i. 0., upward,

but does not contact with this mouth. The

, points 6 of the bow c are then located about "45 mm. above the outer mouthz' of the uterus and, as shown in Fig. 1, enter in this position into the mucous membrane of the cervix uteri, so that the entire device is fixed perfectly securely, but can yield to any contractions of the uterus.

The instrument represented in Figs. 4 to 7 for introducing a device according to Figs.

7 2 and 3 into the cervix uterus substantially comprises a tube 76 about 6 mm. wide and 25 cms. long provided with a handle Z its upper end being bent at an obtuse angle for the purpose of more readily introducing the instrument into the cervix uteri.

plunger 77. provided with a handle on is displaceable in the tube 70. The upper end of the tube is divided in the middle, and the one part 0 of this end is arranged to told as shown in Fig. 7, it being connected by a hinge to a ring 79 inserted in the tube .k. The portion 0 of the tubecan be held in its closed position (Figs. 4 to 7) bya ring 9 which surrounds the tube 72 and is displaceable on the tube between two stops 1" and s on the tube and in. its upper position, in which it bears against the stop '1" holds the two halves together. The upper .stop .1"

serves at the same time for marking the place up to which the instrument carrying the device to ;be inserted into the channel end of the tube is provided in av plane at right angles to the plane of division with a slot t about 6 mm. long which runs longitudinally of the instrument and enlarges downwardly. This instrument is used as follows :The device according to Figs. 2 and 3' is inserted into the instrument when the part 0 is turned downward, and after this part 0 has been turned upward the device a, Z), 0 is held by the instrument in the manner which will be readily understood from Figs. 5 and 6. The points 6 of the device are located about 2 mm. below the ends of the slots 25 and are firmly clamped inside the instrument, so that when the instrument is inserted into the channel of the cervix uteri the walls of the latter cannot be scratched by the points. When the upper end of the instrument has been inserted into the cervix uteri and the plunger 01. which was originally in the position shown in Fig. 4 ispressed upward in the tube is by means of the handle m, the upper end of the plunger then abuts against the chain 7 and the device a, b, c is lifted so far that the points e are released, whereupon these move outward through the slots t and enter into the mucous membrane of the cervix uteri and thus the device in the latter. The empty instrument can then be withdrawn downward from the uterus and the vagina.

The instrument shown in Figs. 8 to 10 is used for removing the device a, b, 0 from the cervix uteri. This instrument likewise comprisesatube u about ;6 mm. wide and 25 cms. long provided with a handle 12 and its upper end is likewise bent at an obtuse angle. Inside the tube is a piston-like displaceable device or plunger w passing through a long slot in the tube and which .is provided with a handle it. On the upper end of the device to is a rod 2 having a small hook y whose point is turned toward the rod 2 in order to render impossible all injury of the wall of the cervix when the instrument is being introduced into the same, which is done when the hook is pushed out of the tube.

The removing instrument is used as follows :-The upper end of the instrument with the hook y projecting about 1 cm. out of the tube a is inserted into the cervix uteri and the chain 7 is caught by the hook (Fig. 8t. iT-he tube u is then pushed up ward until its upper end bears against the device a, 7), 0 to be removed, as shown in Fig. 9. The device w and the hook y are then retracted until the hook is located about 1 cm. below the upper end of the tube u. The" hook pulls the device a, b, 0, downward with it and draws it into the tube u of the instrument (Fig. 10). The points 6 are hereby removed from the cervix uteri without injuring thesame and the device a, Z), 0 can then be removed downward with the instrument in the position shown in Fig.

10 out of the uterus.

What I claim and desire to secure by Letters Patent of the United States is 1. In a uterine applicator the combination with a body containing the medicaments to be employed; of an elastic carrier arranged to carry said body and to detachably anchor itself in its position of use in the wall of the cervix, a free passage being left in the channel of the cervix uteri, when the carrier is fixed therein.

2. In a uterine applicator the combination with a projectile shaped body for containing the medicaments to be employed; of an elastic carrier arranged to carry said body and to detachably anchor itself in the position of usein the wall of the cervix, a free passage being left in the channel of the cervix uteri, when the carrier is fixed therein.

3. In a uterine applicator the combination with a body containing the medicaments to be employed; of an elastic carrier having lateral outwardly directed points arranged to enter into the mucous membrane of the cervix uteri to hold the said carrier securely in its position of use, a free passage being left in the channel of the cervix uteri, when the carrier is fixed therein.

4. In a uterine applicator, the combination with a body'containing the medicaments to be employed; of a yielding carrier adapted to carry said body and arranged to detachably anchor itself in the position of use in the wall of the cervix, a free passage being left in the channel of the cervix uteri when the carrier is fixed therein, and means for limiting the maximum width of said carrier.

5. In a uterine applicator, the combination with a body containing the medicaments to be employed; of a yielding carrier having lateral outwardly directed points arranged to enter into the mucous membrane of the cervix uteri and to hold said carrier securely in its position of use, a free passage being left in the channel of the cervix uteri when the carrier is fixed therein, and means for limiting the maximum distance between the ends of said points.

6. In a uterine applicator the'combination with a body containing the medicaments to be'employed; of an elastic carrier adapted to carry said body and arranged to detachably anchor itself in the position of use in the wall of the cervix, a

free passage being left in the channel of the cervix uteri, when the carrier is fixed therein, and a chain attached by its ends to the carrier for limiting the maximum width thereof.

7 In a uterine applicator the combination with a body containing the medicaments to be employed; of an elastic carrier consisting ofa bow of wire having lateral outwardly directed points arranged to enter into the mucous membrane of the cervix uteri and to hold said carrier securely in its position of use, a free passage being left in the channel of the cervix uteri, when the carrier is fixed therein.

8. In a uterine applicator the combination with a body containing the medicaments to be employed; of an elastic carrier consisting of a bow of fine Wire having lateral outwardly directed points arranged to enter into the mucous membrane of the cervix uteri and to hold said carrier securely in its position of use, a free passage being left in the channel of the cervix uteri, when the carrier is fixed therein, and means for limiting the maximum distance between the endsof said points.

9. In a uterine applicator, the combination with a body containing the medicaments to be employed; of an elastic carrier formed as loops, and a chain having its ends attached to said loops.

10. A uterine applicator, comprising in combination an elastic bow having lateral outwardly directed points at the ends of the limbs thereof, a chain connected to the ends of the limbs and an attachment device carried by the bow for carrying a medicinal body for treating the mucous membrane.

11. A uterine applicator, comprising in combination an elastic bow having lateral outwardly directed points at the ends of the limbs thereof, a chain connected to the ends of the limbs, an attachment device carried by the bow and a medicinal body for treating the mucous membrane of the cervix uteri normally carried by the attachment device.

In testimony whereof, I aflix my signature in the presence of two witnesses.

RosA THULBAUER, FRIDA KLAIBER.

Copies of this patent may be obtained for five cents each, by addressing the Commissioner of Patents,

' Washington, D. G. 

